Equipment Return Inspection Checklist Form
Complete this checklist to verify and document the condition of equipment returned after use.
Equipment Name or ID
*
Date of Return
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Returned By (Name)
*
Overall Condition of Equipment
*
Good
Minor Damage
Major Damage
Missing Parts
List any missing or damaged items
Maintenance or Cleaning Needed
*
Cleaning Required
Repairs Needed
No Action Needed
Other
Additional Comments
Inspector Name
*
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: